LCC Kerb Proof Roll and Pre Pour Inspection (V1.1)

• Audit Title

• Site

• Location
  Address

• Contractor/s

• Conducted on

  Date

• Audit Conducted By

• Other Personnel Present

Kerb Base Proof Roll

• What is the location of the kerb base to be tested?

• What plant is being used to proof roll the kerb base?

  Water Cart

  Grader

  Loaded Truck

• Has area 150 mm behind the back of kerb been compacted?

  Yes

  No

  N/A

• Is the kerb base preparation approved?

  Yes

  No

  N/A

Kerb Pre-Pour Inspection

• Where matching into existing kerb and channel, are levels and alignment as required by the design?

  Yes

  No

  N/A

• Is line of kerb as required by design and providing the correct road width?

  Yes

  No

  N/A

• Is the grade on the kerb and channel as required by the design?

  Yes

  No

  N/A

• Are pits in correct locations?

  Yes

  No

  N/A

• If required by the design, have lay-back locations for pram and vehicle crossings been identified and allowed for?

  Yes

  No

  N/A

• Have underground services been identified for kerb stamping?

  Yes

  No

  N/A

• Insert photos of soft spots?

  Media

• Contractor to sign:

  Sign

• Council Representative to sign:

  Sign